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抗生素耐药性:应对这一全球威胁的挑战和一些新兴策略。

Antibiotic resistance: The challenges and some emerging strategies for tackling a global menace.

机构信息

Department of Microbiology, Renaissance University, Enugu, Nigeria.

Department of Pharmaceutical Microbiology and Biotechnology, Nnamdi Azikiwe University, Awka, Nigeria.

出版信息

J Clin Lab Anal. 2022 Sep;36(9):e24655. doi: 10.1002/jcla.24655. Epub 2022 Aug 10.


DOI:10.1002/jcla.24655
PMID:35949048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9459344/
Abstract

BACKGROUND: Antibiotic resistance is currently the most serious global threat to the effective treatment of bacterial infections. Antibiotic resistance has been established to adversely affect both clinical and therapeutic outcomes, with consequences ranging from treatment failures and the need for expensive and safer alternative drugs to the cost of higher rates of morbidity and mortality, longer hospitalization, and high-healthcare costs. The search for new antibiotics and other antimicrobials continues to be a pressing need in humanity's battle against bacterial infections. Antibiotic resistance appears inevitable, and there is a continuous lack of interest in investing in new antibiotic research by pharmaceutical industries. This review summarized some new strategies for tackling antibiotic resistance in bacteria. METHODS: To provide an overview of the recent research, we look at some new strategies for preventing resistance and/or reviving bacteria's susceptibility to already existing antibiotics. RESULTS: Substantial pieces of evidence suggest that antimicrobials interact with host immunity, leading to potent indirect effects that improve antibacterial activities and may result in more swift and complete bactericidal effects. A new class of antibiotics referred to as immuno-antibiotics and the targeting of some biochemical resistance pathway components including inhibition of SOS response and hydrogen sulfide as biochemical underlying networks of bacteria can be considered as new emerging strategies to combat antibiotic resistance in bacteria. CONCLUSION: This review highlighted and discussed immuno-antibiotics and inhibition of SOS response and hydrogen sulfide as biochemical underlying networks of bacteria as new weapons against antibiotic resistance in bacteria.

摘要

背景:抗生素耐药性是目前对细菌感染有效治疗的最严重的全球性威胁。抗生素耐药性的建立对临床和治疗结果产生了不利影响,其后果从治疗失败和需要昂贵且更安全的替代药物,到更高的发病率和死亡率、更长的住院时间和更高的医疗保健费用不等。寻找新的抗生素和其他抗菌药物仍然是人类对抗细菌感染的紧迫需求。抗生素耐药性似乎不可避免,制药行业对投资新的抗生素研究的兴趣持续缺乏。本综述总结了一些应对细菌抗生素耐药性的新策略。

方法:为了全面了解最新研究,我们研究了一些预防耐药性和/或恢复细菌对现有抗生素敏感性的新策略。

结果:大量证据表明,抗生素与宿主免疫相互作用,产生强大的间接作用,增强抗菌活性,并可能导致更迅速和完全的杀菌作用。一类新的抗生素被称为免疫抗生素,以及靶向一些生化耐药途径成分,包括抑制 SOS 反应和硫化氢作为细菌的生化基础网络,可以被认为是对抗细菌抗生素耐药性的新出现的策略。

结论:本综述强调并讨论了免疫抗生素和抑制 SOS 反应和硫化氢作为细菌的生化基础网络,作为对抗细菌抗生素耐药性的新武器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/9459344/47f16d9f8692/JCLA-36-e24655-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/9459344/4e81d84909f1/JCLA-36-e24655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/9459344/47f16d9f8692/JCLA-36-e24655-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/9459344/4e81d84909f1/JCLA-36-e24655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8433/9459344/47f16d9f8692/JCLA-36-e24655-g003.jpg

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本文引用的文献

[1]
Immuno-antibiotics: targeting microbial metabolic pathways sensed by unconventional T cells.

Immunother Adv. 2021-4-5

[2]
Promising Anti-Biofilm Agents and Phagocytes Enhancers for the Treatment of Biofilm-Associated Infections.

Front Cell Infect Microbiol. 2022

[3]
Dual Acting Immuno-Antibiotics: Computational Investigation on Antibacterial Efficacy of Immune Boosters Against Isoprenoid H Enzyme.

Assay Drug Dev Technol. 2022-7

[4]
Gases in Sepsis: Novel Mediators and Therapeutic Targets.

Int J Mol Sci. 2022-3-27

[5]
Clinical Perspective of Antimicrobial Resistance in Bacteria.

Infect Drug Resist. 2022-3-2

[6]
Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis.

Lancet. 2022-2-12

[7]
Whole-Genome Sequencing of Gram-Negative Bacteria Isolated From Bovine Mastitis and Raw Milk: The First Emergence of Colistin - and Fosfomycin Resistance Genes in in Middle East.

Front Microbiol. 2021-12-8

[8]
Virulence Determinants and Plasmid-Mediated Colistin Resistance Genes in Gram-Negative Bacteria Isolated From Bovine Milk.

Front Cell Infect Microbiol. 2021

[9]
Antibiotic resistance in microbes: History, mechanisms, therapeutic strategies and future prospects.

J Infect Public Health. 2021-12

[10]
Antimicrobial Peptides: A Potent Alternative to Antibiotics.

Antibiotics (Basel). 2021-9-10

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